45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
21,165
Insurances with rates
3
CPT / HCPCS codes
19,487
Most expensive procedures (gross)
C1767
$25,398
STIM NERVE IPG INSPIRE 3150
Gross
$29,880
J3380
$11,047
Vedolizumab For IV Solution 300 MG
Gross
$12,997
J3101
$10,231
Tenecteplase For IV Soln Kit 50 MG
Gross
$12,036
27130
$8,083
ARTHROPLASTY ACETABULAR PROXIMAL FEMORAL PROSTHETIC REPLACE WWO AUTOG
Gross
$9,509
J0517
$7,832
Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML
Gross
$9,215
J2506
$7,554
Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML
Gross
$8,888
43282
$7,308
LAP PARAESOPH HERNIA W MESH
Gross
$8,598
J1459
$6,739
Immune Globulin (Human) IV Soln 40 GM/400ML
Gross
$7,928
Q5111
$6,489
Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML
Gross
$7,634
44204
$6,395
LAPAROSCOPY SURGICAL COLECTOMY PARTIAL WANASTOMOSIS
Gross
$7,523
27447
$6,006
PF 27447 ARTHROPL KNE TIB FEM
Gross
$7,066
27447
$5,916
ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL & LAT COMPARTMENTS WWO PAT
Gross
$6,960
44141
$5,709
COLECTOMY PARTIAL WSKIN LEVEL CECOSTOMY COLOSTOMY
Gross
$6,717
27130
$5,658
PF 27130 ARTHROPL HIP TTL
Gross
$6,656
44143
$5,622
PF 44143 COLECTMY W END COLOST
Gross
$6,614
44206
$5,584
PF 44206 LAP COLECTOMY PART W C
Gross
$6,569
44206
$5,500
LAP SURG COLECTOMY PARTIAL WEND COLOSTOMY & CLOSURE DISTAL SEG
Gross
$6,470
44140
$5,423
COLECTOMY PARTIAL WANASTOMOSIS
Gross
$6,380
49020
$5,284
PF 49020 DRN ABSC PERIT OPEN
Gross
$6,217
23412
$4,956
PF 23412 RPR ROTATOR CUFF OPEN
Gross
$5,831
C1778
$4,935
LEAD STIM RESP INSPIRE 4340
Gross
$5,806
59510
$4,859
ROUTINE OBSTETRIC CARE WANTEPARTUM CARE CESAREAN DELIVERY & POSTPARTU
Gross
$5,717
27814
$4,831
OPEN TREAT BIMALLEOLAR ANKLE FX WWO INT EXT FIXN
Gross
$5,683
95811
$4,808
SLEEP STUDY SPLT NGHT 95811
Gross
$5,656
29888
$4,750
ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIG RPR AUGMENTATN RECONSTRCT
Gross
$5,588
21555
$4,742
EXC TUMOR SOFT TISSUE NECK THORAX SUBQ
Gross
$5,579
21555
$4,742
PF 21555 EXC TUMR NCK SQ <3CM
Gross
$5,579
23410
$4,706
RPR RUPTURED MUSCULOTENDINOUS CUFF OPEN ACUTE
Gross
$5,537
43774
$4,701
LAP GASTRIC RESTRICTIVE REMOVE BAND PORT
Gross
$5,530
72158
$4,677
MRI L SPINE WO THEN W CONT
Gross
$5,502
J7169
$4,654
Coagulation Fact Xa (Recomb) Inact-zhzo For IV Soln 200 MG
Gross
$5,475
44205
$4,589
PF 44205 LAP COLECT PRT ILEOCO
Gross
$5,399
72157
$4,560
MRI T SPINE WO THEN W CONT
Gross
$5,365
72156
$4,556
MRI C SPINE WO THEN W CONT
Gross
$5,360
44204
$4,545
PF 44204 LAP COLECTOMY PARTIAL
Gross
$5,347
70553
$4,542
MRI BRAIN WO THEN W CONT
Gross
$5,344
72197
$4,531
MRI PELVIS WO THEN W CONT
Gross
$5,330
26567
$4,508
OSTEOTOMY PHALANX FINGER EACH
Gross
$5,304
26567
$4,508
PF 26567 OSTEOTOMY PHALANX FIN
Gross
$5,304
23472
$4,480
PF 23472 SHOULD ARTHOPLAS W GLE
Gross
$5,270
59400
$4,452
PF 59400 DEL VAG ANT PP CARE
Gross
$5,238
59400
$4,385
ROUTINE OBSTETRIC CARE ANTEPARTUM CARE VAGINAL DELIVERY & POSTPARTUM
Gross
$5,159
27138
$4,374
REVISION TOTAL HIP ARTHROPLASTY FEMORAL COMPONENT ONLY WWO ALLOGRAFT
Gross
$5,146
44120
$4,355
ENTERECTOMY RESECTION SMALL INTESTINE SNGL RESECTION & ANASTOMOSIS
Gross
$5,124
47562
$4,335
LAPAROSCOPY SURGICAL CHOLECYSTECTOMY
Gross
$5,100
30469
$4,318
RPR NASAL VALVE COLLAPSE LW ENERGY SUBQ SBMCSL RMDLG
Gross
$5,080
58662
$4,309
PF 58662 OVARIAN CYSTECTOMY
Gross
$5,069
J1569
$4,278
Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML
Gross
$5,033
44160
$4,276
COLECTOMY PARTIAL WREMVL TERMINAL ILEUM WILEOCOLOSTOMY
Gross
$5,030
31253
$4,275
PF 31253 NASAL/SINUS ENDO ETHMOIDECTOMY W SINUS EXPL
Gross
$5,029
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1767 | STIM NERVE IPG INSPIRE 3150 | $29,880 | $25,398 | — | — | 9 |
| J3380 | Vedolizumab For IV Solution 300 MG | $12,997 | $11,047 | — | — | 9 |
| J3101 | Tenecteplase For IV Soln Kit 50 MG | $12,036 | $10,231 | — | — | 18 |
| 27130 | ARTHROPLASTY ACETABULAR PROXIMAL FEMORAL PROSTHETIC REPLACE WWO AUTOG | $9,509 | $8,083 | — | — | 12 |
| J0517 | Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML | $9,215 | $7,832 | — | — | 9 |
| J2506 | Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML | $8,888 | $7,554 | — | — | 9 |
| 43282 | LAP PARAESOPH HERNIA W MESH | $8,598 | $7,308 | — | — | 12 |
| J1459 | Immune Globulin (Human) IV Soln 40 GM/400ML | $7,928 | $6,739 | — | — | 18 |
| Q5111 | Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML | $7,634 | $6,489 | — | — | 9 |
| 44204 | LAPAROSCOPY SURGICAL COLECTOMY PARTIAL WANASTOMOSIS | $7,523 | $6,395 | — | — | 12 |
| 27447 | PF 27447 ARTHROPL KNE TIB FEM | $7,066 | $6,006 | — | — | 2 |
| 27447 | ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL & LAT COMPARTMENTS WWO PAT | $6,960 | $5,916 | — | — | 6 |
| 44141 | COLECTOMY PARTIAL WSKIN LEVEL CECOSTOMY COLOSTOMY | $6,717 | $5,709 | — | — | 12 |
| 27130 | PF 27130 ARTHROPL HIP TTL | $6,656 | $5,658 | — | — | 3 |
| 44143 | PF 44143 COLECTMY W END COLOST | $6,614 | $5,622 | — | — | 3 |
| 44206 | PF 44206 LAP COLECTOMY PART W C | $6,569 | $5,584 | — | — | 3 |
| 44206 | LAP SURG COLECTOMY PARTIAL WEND COLOSTOMY & CLOSURE DISTAL SEG | $6,470 | $5,500 | — | — | 12 |
| 44140 | COLECTOMY PARTIAL WANASTOMOSIS | $6,380 | $5,423 | — | — | 12 |
| 49020 | PF 49020 DRN ABSC PERIT OPEN | $6,217 | $5,284 | — | — | 3 |
| 23412 | PF 23412 RPR ROTATOR CUFF OPEN | $5,831 | $4,956 | — | — | 3 |
| C1778 | LEAD STIM RESP INSPIRE 4340 | $5,806 | $4,935 | — | — | 9 |
| 59510 | ROUTINE OBSTETRIC CARE WANTEPARTUM CARE CESAREAN DELIVERY & POSTPARTU | $5,717 | $4,859 | — | — | 12 |
| 27814 | OPEN TREAT BIMALLEOLAR ANKLE FX WWO INT EXT FIXN | $5,683 | $4,831 | — | — | 12 |
| 95811 | SLEEP STUDY SPLT NGHT 95811 | $5,656 | $4,808 | — | — | 9 |
| 29888 | ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIG RPR AUGMENTATN RECONSTRCT | $5,588 | $4,750 | — | — | 6 |
| 21555 | EXC TUMOR SOFT TISSUE NECK THORAX SUBQ | $5,579 | $4,742 | — | — | 12 |
| 21555 | PF 21555 EXC TUMR NCK SQ <3CM | $5,579 | $4,742 | — | — | 3 |
| 23410 | RPR RUPTURED MUSCULOTENDINOUS CUFF OPEN ACUTE | $5,537 | $4,706 | — | — | 12 |
| 43774 | LAP GASTRIC RESTRICTIVE REMOVE BAND PORT | $5,530 | $4,701 | — | — | 12 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,502 | $4,677 | — | — | 9 |
| J7169 | Coagulation Fact Xa (Recomb) Inact-zhzo For IV Soln 200 MG | $5,475 | $4,654 | — | — | 18 |
| 44205 | PF 44205 LAP COLECT PRT ILEOCO | $5,399 | $4,589 | — | — | 3 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,365 | $4,560 | — | — | 9 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,360 | $4,556 | — | — | 9 |
| 44204 | PF 44204 LAP COLECTOMY PARTIAL | $5,347 | $4,545 | — | — | 3 |
| 70553 | MRI BRAIN WO THEN W CONT | $5,344 | $4,542 | — | — | 9 |
| 72197 | MRI PELVIS WO THEN W CONT | $5,330 | $4,531 | — | — | 9 |
| 26567 | OSTEOTOMY PHALANX FINGER EACH | $5,304 | $4,508 | — | — | 12 |
| 26567 | PF 26567 OSTEOTOMY PHALANX FIN | $5,304 | $4,508 | — | — | 3 |
| 23472 | PF 23472 SHOULD ARTHOPLAS W GLE | $5,270 | $4,480 | — | — | 3 |
| 59400 | PF 59400 DEL VAG ANT PP CARE | $5,238 | $4,452 | — | — | 3 |
| 59400 | ROUTINE OBSTETRIC CARE ANTEPARTUM CARE VAGINAL DELIVERY & POSTPARTUM | $5,159 | $4,385 | — | — | 12 |
| 27138 | REVISION TOTAL HIP ARTHROPLASTY FEMORAL COMPONENT ONLY WWO ALLOGRAFT | $5,146 | $4,374 | — | — | 12 |
| 44120 | ENTERECTOMY RESECTION SMALL INTESTINE SNGL RESECTION & ANASTOMOSIS | $5,124 | $4,355 | — | — | 12 |
| 47562 | LAPAROSCOPY SURGICAL CHOLECYSTECTOMY | $5,100 | $4,335 | — | — | 12 |
| 30469 | RPR NASAL VALVE COLLAPSE LW ENERGY SUBQ SBMCSL RMDLG | $5,080 | $4,318 | — | — | 12 |
| 58662 | PF 58662 OVARIAN CYSTECTOMY | $5,069 | $4,309 | — | — | 3 |
| J1569 | Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML | $5,033 | $4,278 | — | — | 18 |
| 44160 | COLECTOMY PARTIAL WREMVL TERMINAL ILEUM WILEOCOLOSTOMY | $5,030 | $4,276 | — | — | 12 |
| 31253 | PF 31253 NASAL/SINUS ENDO ETHMOIDECTOMY W SINUS EXPL | $5,029 | $4,275 | — | — | 3 |
Showing top 50 of 21,165 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.